TRIKUSPIDAL KLAPAN YETISHMOVCHILIGI VA O‘NG QORINCHA FUNKSIYASINI EXOKARDIOGRAFIK BAHOLASH, ZAMONAVIY YONDASHUVLAR
Kalit so‘zlar:
trikuspidal yetishmovchilik, o‘ng qorincha disfunksiyasi, exokardiografiya, 3D exokardiografiyaAbstrak
Kirish va maqsad: Trikuspidal klapan yetishmovchiligi (TY) bemorlarning hayot va o‘lim ko‘rsatkichlariga sezilarli ta'sir ko‘rsatuvchi jiddiy gemodinamik patologiya hisoblanadi. Ushbu sharhning maqsadi trikuspidal yetishmovchilik og‘irlik darajasini va o‘ng qorincha (O‘Q) funksiyasini vizualizatsiya qilishdagi zamonaviy exokardiografik yondashuvlarni tahlil qilishdir.
Metodologiya: Dalillarga asoslangan tibbiyot tamoyillariga muvofiq, Amerika Exokardiografiya jamiyatining (ASE) 2017 va 2025-yillardagi so‘nggi klinik qo‘llanmalari va standartlari asosida adabiyotlar tahlili o‘tkazildi.
Natijalar: TY diagnostikasida an'anaviy 3 darajali tasnifning yetarli emasligi sababli, og‘ir holatlarni farqlash imkonini beruvchi yangi 5 darajali (yengil, o‘rta og‘ir, og‘ir, massiv, torrensial) tizimning klinik ahamiyati asoslandi. O‘Q sistolik funksiyasini baholashda TAPSE, TDI S', FAC va RV strain parametrlarini majmuaviy qo‘llash zarurligi ko‘rsatildi. Shuningdek, murakkab anatomik o‘zgarishlarda va transkateter aralashuvlarni rejalashtirishda 2D usuliga nisbatan 3D exokardiografiya "oltin standart" ekanligi tasdiqlandi
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Havolalar
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